CAJ | 학술논문

目的：报道临床所见皮肤感觉改变高于节段平面的腰椎间盘突出症的治疗效果。方法：20例诊断为腰椎间盘突出症而查体发现有皮肤感觉改变明显高于病变节段，予以手术治疗。结果：通过手术治疗，所有病例术后症状完全缓解，随访观察6个月～3年，平均1.2年，未见有高节段的皮肤感觉改变再次出现。结论：对于排除有其他疾病的高于病变节段的皮肤感觉迟钝，可以果断对较低节段的椎间盘突出行手术治疗，近期疗效满意。
목적：보도림상소견피부감각개변고우절단평면적요추간반돌출증적치료효과。방법：20례진단위요추간반돌출증이사체발현유피부감각개변명현고우병변절단，여이수술치료。결과：통과수술치료，소유병례술후증상완전완해，수방관찰6개월～3년，평균1.2년，미견유고절단적피부감각개변재차출현。결론：대우배제유기타질병적고우병변절단적피부감각지둔，가이과단대교저절단적추간반돌출행수술치료，근기료효만의。
Objective: It’s reported therapeutic effect in the clinical that the changes in cutaneous sensation is higher than the segment plane in protrusion of lumbar intervertebral disc.Method: 20 cases who were diagnosed as protrusion of lumbar intervertebral disc found out that changes in cutaneous sensation was higher than the patheology segment by physical examination, and adopted by surgical therapy. Result: After surgical treatment all the patients’ postoperative symptoms were complete remission. Follow-up observation 6 months to 3 years with a mean follow-up period of 1.2 years. There was no again changed in high segment cutaneous sensation .Conclusion: To rule out other diseases which was higher than patheology segment skin felt slow. It was decisive to give surgical trement to lower segment of protrusion of lumbar intervertebral disc. Recently the curative effects were satisfactory.